taken at the time of the first interview. The
measurements made at the time were as follows: circumference at the
largest part, just below the umbilicus, 50 inches; circumference just
below the mammae, 35 inches; from the xiphoid cartilage to the
symphysis pubis, 32 inches, not including the appendum, which is shown
in the picture. Percussion suggested a fluid within a sac. The uterus
was drawn up to the extent of from 12 to 14 inches. The woman walked
with great difficulty and with a waddling gait, bending far backward
the better to keep "the center of gravity within the base," and to
enable her to sustain the enormous weight of the abdomen. She was
compelled to pass her urine while standing. Attempts had been made six
and two years before to tap this woman, but only a few drops of blood
followed several thrusts of a large trocar. A diagnosis was made of
multilocular ovarian cyst or edematous myoma of the uterus, and on the
morning of December 7, 1890, an operation was performed. An incision 14
inches in length was first made in the linea alba, below the umbilicus,
and afterward extended up to the xiphoid cartilage. The hemorrhage
from the abdominal wall was very free, and the enormously distended
vessels required the application of a large number of pressure-forceps.
Adhesions were found almost everywhere the most difficult to manage
being those of the liver and diaphragm. The broad ligaments and
Fallopian tubes were ligated on either side, the tumor turned out, the
thick, heavy pedicle transfixed and ligated, and the enormous growth
cut away. After operation the woman was immediately placed on platform
scales, and it was found that she had lost 93 1/2 pounds.
Unfortunately the patient developed symptoms of septicemia and died on
the fifth day. In looking over the literature on this subject McIntyre
found no mention of any solid tumor of this size having been removed.
On April 18, 1881, Keith, late of Edinburgh, now of London,
successfully removed an edematous myoma, together with the uterus,
which was 42 pounds in weight. In a recent work Tait remarks that the
largest uterine myoma which he ever removed weighed 68 pounds, and adds
that it grew after the menopause. McIntyre believes that his tumor,
weighing 93 1/2 pounds, is the largest yet reported. Eastman reports
the removal of a fibroid tumor of the uterus weighing 60 pounds. The
patient recovered from the operation.

It is quite possible for a fibrocyst of